Workshops to disseminate the Canadian Thoracic Society guidelines for chronic obstructive pulmonary disease to health care professionals in Ontario: Impact on knowledge, perceived health care practices and participant satisfaction
D Moosa, M Blouin, K Hill, R Goldstein
BACKGROUND: The Canadian Thoracic Society (CTS) has developed
a clinical practice guideline (CPG) regarding the management of
patients with chronic obstructive pulmonary disease (COPD).
Implementation of this CPG in the primary care setting requires an effective
dissemination strategy.
OBJECTIVES: To examine the change in knowledge, participant satisfaction
and perceived changes in clinical practice among health care professionals
working in the primary care setting following attendance at a
workshop to disseminate the CTS CPG for COPD.
METHODS: A 2.5 h workshop was conducted in three community
health sites within Ontario. Each workshop comprised a didactic presentation
and interactive case study discussions. Before, and one month following
the workshop, a structured knowledge assessment questionnaire was
administered. A structured satisfaction questionnaire and evaluative form
that examined the impact of the workshop on the clinical management of
COPD patients were administered immediately and three months following
completion of the workshop, respectively.
RESULTS: Sixty-nine participants attended the workshop. The mean
score for the structured knowledge assessment questionnaire increased
from 8.5±2.7 to 10.6±2.0 following the workshop (P=0.008). Eighty-nine
per cent and 96% of participants indicated that they would recommend
the workshop to a colleague and had greater confidence in their management
of COPD patients, respectively. Following attendance of the workshop,
73%, 69% and 46% described increased patient education, patient
monitoring and the use of objective testing in clinical practice, respectively.
CONCLUSIONS: Workshop attendance was associated with high levels
of satisfaction and important self-reported changes in clinical practice,
which may reflect improved knowledge of the CTS CPG for COPD.
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